The BMJ Podcast

Martin McShane, medical director of long term conditions at NHS England, questions the validity of the Quality and Outcomes Framework and suggests how it should change in the future.

Read the related article:

http://www.bmj.com/content/350/bmj.h2540

The movement to make data from clinical trials widely accessible has achieved enormous success, and it is now time for medical journals to play their part. From 1 July The BMJ will extend its requirements for data sharing to apply to all submitted clinical trials, not just those that test drugs or devices.

The BMJ's Elizabeth Loder explains what this means for authors, and how we expect researchers to make their data available.

Read the full editorial:

http://www.bmj.com/content/350/bmj.h2373

The future of health and social care looks certain to be a defining issue in the forthcoming UK general election. Social care has been subject to deep public spending cuts, raising concerns about the sustainability of services in the future. Whoever wins the next election will need to grapple with providing joined up health and social care services in an era of continued austerity.

A recent debate (heathdebate.net) with key spokespeople from across the political spectrum took place this week, and we assembled a panel of experts to discuss how they think the debate went, and the key promises and gaps in the parties plans for the NHS.

Taking part were:

Fiona Godlee, editor in chief of The BMJ

Jeremy Taylor - chief executive of National Voices

Johnny Marshall - director of policy at the NHS Confederation

Jane Dacre - president of the Royal College of Physicians

Anita Charlesworth - chief economist at the Health Foundation

Mark Porter - chair of council at the BMA

Nigel Edwards - chief executive of the Nuffield Trust

Chris Ham - chief executive of The King's Fund

For more analysis of the election's health promises, read Gareth Iacobucci's Election Watch column: http://www.bmj.com/content/350/bmj.h2165

In the US the licence, or marketing authorisation, for alteplase is limited to 0-3 hours after onset of stroke, but some other countries - including the UK and Australia - have extended the licence to 4.5 hours.

In an analysis article on thebmj.com Brian Alper, vice president of evidence based medicine research and development at Dynamed, and colleagues, interpret the evidence to suggest increased mortality with uncertain benefit for its use beyond three hours.

Read their full analysis:

http://www.bmj.com/content/350/bmj.h1075

Katherine Henderson is the clinical lead of the emergency department at St Thomas's hospital in London.

She worries that lack of ward space is having a domino effect throughout A and E and is the cause of increased waiting time for both patients and ambulances.

If you would like to contribute to this collection, please email a brief audio recording to [email protected] or phone +44 (20) 3058 7427 and tell us what your main concern for the NHS is. Please include your name, job title, and place of work.

Obioma Ezekobe is a GP in an urgent care centre in Central Middlesex Hospital.

She believes that the public need to be educated about the use of NHS resources, and be taught when it is appropriate to seek care.

If you would like to contribute to this collection, please email a brief audio recording to [email protected] or phone +44 (20) 3058 7427 and tell us what your main concern for the NHS is. Please include your name, job title, and place of work.

BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.com.

Patrick Keating, a GP from Enfield, is concerned that small practices are under pressure to increase list size, but aren't able to muster resources to meet this increased demand.

If you would like to contribute to this collection, please email a brief audio recording to [email protected] or phone +44 (20) 3058 7427 and tell us what your main concern for the NHS is. Please include your name, job title, and place of work.

Bastiaan Bloem, consultant neurologist at Radboud University Nijmegen Medical Centre, Netherlands, discussing his revolutionary approach to patient centred care.

Read more from the summit:

http://www.bmj.com/content/350/bmj.h1172

Mark Folman, a GP in Nottinghamshire, is concerned that more and more work, with more and more patients, means less time with those who really need him.

BMJ Voices is a collection of readers’ experiences of working in the NHS. For this, The BMJ is seeking short audio submissions from UK listeners. These submissions will be published on thebmj.com.

If you would like to contribute to this collection, please email a brief audio recording to [email protected] or phone +44 (20) 3058 7427 and tell us what your main concern for the NHS is. Please include your name, job title, and place of work.

In our accompanying roundtable discussion,we hear views from a group of patients and clinicians based largely in the UK on the actions required  to advance  progress towards providing patient centred care.

To extend the conversation we talked to members of the BMJ's international patient advisory panel and other patient advocates - and what follows are short clips of hour long conversations with people in the US, Europe, India, Equador and Uganda.

While the quality of the recordings vary there is no mistaking

the passion of these advocates to improve care for fellow patients and the barriers which need to be overcome to make it happen.

Taking part in this discussion in order are:

Dominck Frosch,associate professor, University of California

Maggie Breslin US designer, researcher and writer

Matthew Maleska, designer, Patient Revolution Project

Cristin Lind, patient advocate, Rare Diseases Sweden

Corine Jansen, cheif listening officer, JoConnect

Jonas Gonseth, chief executive, Gaerente en Hospital de Especialidades Guayaquil, Equador

Rakhal Gaitonde chair, community advisory board of the National

Institute for Research on Tuberculosis

Robinah Alambuya, president of the Pan African Network of People with Psychosocial Disabilities, Uganda

Daniel Iga Mwesigwa, executive medical director, Mwesigwa Medical Centre, Uganda